Healthcare Provider Details

I. General information

NPI: 1457164451
Provider Name (Legal Business Name): NAHSHIRA MCKAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 FAYETTE ST
PERTH AMBOY NJ
08861-4140
US

IV. Provider business mailing address

2085 BARNETT ST
RAHWAY NJ
07065-5729
US

V. Phone/Fax

Practice location:
  • Phone: 732-410-7102
  • Fax:
Mailing address:
  • Phone: 201-892-8380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL06701600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: